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COALITION: ADVOCACY FOR PROSPECTIVE CLINICAL TRIALS TO TEST THE POST-EXPOSURE POTENTIAL OF HYDROXYCHLOROQUINE AGAINST COVID-19
SARS-CoV-2
Cloroquina
Hidroxicloroquina
Lúpus Eritematoso Sistêmico
Imunomodulação
Coronavírus
Malária
Antiviral
SARS-CoV-2
Chloroquine
Hydroxychloroquine
Systemic lupus erythematosus
Immunomodulation
Coronavirus
Malaria
Antiviral
https://www.arca.fiocruz.br/handle/icict/40858
Author
Affilliation
Malaria Research Unit, ICBMS, UMR 5246, CNRS, INSA, CPE University Lyon, 69100 Villeurbanne, France / Institute of Parasitology and Medical Mycology, Croix-Rousse Hospital, Hospices Civils de Lyon. 69004 Lyon, France.
Translational Medicine, HWCOM, FIU Health Travel Medicine Program and Vaccine Clinic Commander, Emergency Response Team Development. Miami, FL, USA.
Malaria Research Unit, ICBMS, UMR 5246, CNRS, INSA, CPE University Lyon, 69100 Villeurbanne, France / Groupement Hospitalier Nord, Service Pharmacie, Hospices Civils de Lyon, 69004 Lyon, France.
Division of Public Health Surveillance and Response, National Institute for Communicable Diseases, 2131. Johannesburg, South Africa.
Faculté de Médecine Paris Descartes, Académie Vétérinaire de France. Paris, France.
Institute of Research for Development (former), Montpellier Centre. BP 64501, 34394 Montpellier, France.
Department of Tropical Medicine and Malaria, Research Institute, National Center for Global Health and Medicine. Tokyo 162-8655, Japan.
School of Veterinary Science, The University of Queensland. Brisbane, QLD, Australia.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Pesquisa em Malária. Rio de Janeiro, RJ, Brasil.
Departamento de Parasitología, Facultad de Farmacia, Universidad de Valencia. 46100, Valencia, Spain.
Translational Medicine, HWCOM, FIU Health Travel Medicine Program and Vaccine Clinic Commander, Emergency Response Team Development. Miami, FL, USA.
Malaria Research Unit, ICBMS, UMR 5246, CNRS, INSA, CPE University Lyon, 69100 Villeurbanne, France / Groupement Hospitalier Nord, Service Pharmacie, Hospices Civils de Lyon, 69004 Lyon, France.
Division of Public Health Surveillance and Response, National Institute for Communicable Diseases, 2131. Johannesburg, South Africa.
Faculté de Médecine Paris Descartes, Académie Vétérinaire de France. Paris, France.
Institute of Research for Development (former), Montpellier Centre. BP 64501, 34394 Montpellier, France.
Department of Tropical Medicine and Malaria, Research Institute, National Center for Global Health and Medicine. Tokyo 162-8655, Japan.
School of Veterinary Science, The University of Queensland. Brisbane, QLD, Australia.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Pesquisa em Malária. Rio de Janeiro, RJ, Brasil.
Departamento de Parasitología, Facultad de Farmacia, Universidad de Valencia. 46100, Valencia, Spain.
Abstract
Our coalition of public health experts, doctors, and scientists worldwide want to draw attention to the need for
high-quality evaluation protocols of the potential beneficial effect of hydroxychloroquine (HCQ) as a post-exposure
drug for exposed people. In the absence of an approved, recognized effective pre or post-exposure prophylactic
drug or vaccine for COVID-19, nor of any approved and validated therapeutic drug, coupled with social
and political pressure raised by publicity both regarding the potential beneficial effect of hydroxychloroquine
(HCQ) as well as potential risks from HCQ, we urge the immediate proper clinical trials. Specifically, we mean
using HCQ for post-exposure of people with close contact with patients with positive COVID19 rtPCR, including
home and medical caregivers. We have reviewed the mechanisms of antiviral effect of HCQ, the risk-benefit ratio
taking into consideration the PK/PD of HCQ and the thresholds of efficacy. We have studied its use as an
antimalarial, an antiviral, and an immunomodulating drug and concluded that the use of HCQ at doses matching
that of the standard treatment of Systemic Lupus erythematous, which has proven safety and efficacy in terms of
HCQ blood and tissue concentration adapted to bodyweight (2,3), at 6 mg/kg/day 1 (loading dose) followed by 5
mg/kg/ day, with a maximum limit of 600 mg/day in all cases should swiftly be clinically evaluated as a postexposure
drug for exposed people.
Keywords in Portuguese
COVID-19SARS-CoV-2
Cloroquina
Hidroxicloroquina
Lúpus Eritematoso Sistêmico
Imunomodulação
Coronavírus
Malária
Antiviral
Keywords
COVID-19SARS-CoV-2
Chloroquine
Hydroxychloroquine
Systemic lupus erythematosus
Immunomodulation
Coronavirus
Malaria
Antiviral
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